Individual
LUIS ENRIQUE ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V2474
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01088592A
UNRESTRICTED INDIANA MEDICAL LICENSE
IN
01
—
V2474
UNRESTRICTED TEXAS MEDICAL LICENSE
TX
Enumeration date
03/30/2020
Last updated
10/31/2024
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